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NPI 1285766584

NPI 1285766584 : CARITAS INC. : PAWTUCKET, RI

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General NPI Number Information
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    NPI Number           |    1285766584
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARITAS INC. 
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Dates
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    Enumeration Date     |    03/12/2007
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    Last Update Date     |    02/28/2008
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Provider Practice Location Address
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    Address Line         |    166 PAWTUCKET AVE 
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    City                 |    PAWTUCKET
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    State                |    RI
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    Zip                  |    02860-3811
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    Country              |    US
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    Telephone            |    401-722-4644
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    Fax                  |    401-475-9533
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Provider Business Mailing Address
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    Address Line         |    166 PAWTUCKET AVE 
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    City                 |    PAWTUCKET
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    State                |    RI
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    Zip                  |    02860-3811
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    Country              |    US
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    Telephone            |    401-762-4421
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    Fax                  |    401-762-4867
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Authorized Official
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    Title or Position    |    DIRECTOR OF FINANCE & OPERATIONS
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    Name                 |     RICHARD A. CIPOLLA 
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    Credential           |    MA
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    Telephone            |    401-475-8009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    RI
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Taxonomy #2
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    RI
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Taxonomy #3
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    RI
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Taxonomy #4
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    Taxonomy Code        |    3245S0500X
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    Taxonomy Name        |    Children's Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    RI
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Taxonomy #5
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    RI
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